=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336735349
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH SOLUTIONS PLUS LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/14/2020
-----------------------------------------------------
Last Update Date | 06/28/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 632 LAKELAND EAST DR STE A
-----------------------------------------------------
City | FLOWOOD
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39232-9565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 769-233-7889
-----------------------------------------------------
Fax | 769-216-2527
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 632 LAKELAND EAST DR STE A
-----------------------------------------------------
City | FLOWOOD
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39232-9565
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 769-233-7889
-----------------------------------------------------
Fax | 769-216-2527
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | MIKE BERRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 601-927-9355
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------